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                              ORDER FORM
The Globe Corner Bookstore                   E-mail: orders@gcb.com
46 Station Street                            Fax: 617-730-3901
Brookline, MA  02445                         Toll-free: 1-800-358-6013
                                             Telephone: 617-730-3900
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ORDERED BY

Name: 
Address: 

City, State, Zip: 


Your e-mail address, or your fax or telephone number: 
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SHIP TO ADDRESS, if different. For UPS, please provide street address.

Name: 
Address: 

City, State, Zip: 
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SHIP VIA

USA:    UPS   Regular   2ndDay   NextDay   /   FEDEX   Overnight   Priority

Intl:   Surface Mail      Air Mail      UPS      FEDEX
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METHOD OF PAYMENT If you have ordered from us before, enter only the
last 4 digits of your credit card number and the expiration date.

Visa     Mastercard     American Express     Discover      Check

Name on credit card: 
Card number: 
Expiration Date: 

If paying by check, please total your order and add the shipping charge.
Also, if shipping to a Massachusetts address, please add 5% sales tax.
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ITEMS ORDERED

Quantity    Catalog #              Title








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The Globe Corner Bookstores    http://www.globecorner.com